Marshall Gould

Juno co-founder and researcher

Marshall Gould is a Juno co-founder with lived experience of ME/CFS. His research examines online rare-disease communities, patient communication, and practical chronic-illness support.

His Juno writing focuses on recording change, preparing for appointments, making uncertainty visible, and reducing the memory burden of living with chronic illness. His research background includes work associated with Oxford and UCL, alongside first-party interviews with people living with chronic conditions.

Research and profiles

Elsewhere

Articles by Marshall

See all

A doctor in a white coat with a stethoscope fills in a medical history form on a clipboard while a patient sits across the desk.

How to Get Diagnosed With POTS: Tests, Doctors and What to Bring

How a POTS diagnosis works: the heart rate criteria, the stand and tilt table tests, which doctor to see, why it takes so long, and what to bring.

A woman in a blue knitted top lies on her side on a beige sofa with her eyes closed and both hands pressed to her stomach.

Crohn’s Disease Symptoms: Early Signs, Flares and When to Get Help

Crohn’s disease symptoms: diarrhoea, belly pain, tiredness and weight loss, early signs that are easy to miss, flares, Crohn’s vs IBS and when to get help.

A woman with curly hair in a white bathrobe, seen from behind, leans towards a tall wooden mirror in a bright room with a green plant.

Moon Face: Causes, Steroids, How Long It Lasts and What Helps

Moon face is a round, puffy face from steroids or Cushing’s. Why it happens, how long it lasts, what helps, and the facts on “cortisol face” and PCOS.

A woman in navy pyjamas lies on her back on a pink sofa with her knees up and both hands resting on her stomach, eyes on the ceiling.

SIBO Symptoms: Signs, Causes, Tests and When to See a Doctor

SIBO symptoms: bloating, gas, tummy pain, diarrhoea or constipation. What causes SIBO, how the breath test works, how it is treated and when to see a doctor.

A woman in an orange cardigan writes notes at a kitchen table beside a pill organiser and a glass of water

Hashimoto’s Symptoms: Checklist to Tick, Early Signs and Flares

Tick the Hashimoto’s symptoms you have and print the list for your doctor. Early signs, symptoms in women, flare-ups, and the blood tests that confirm it.

Juno MCAS symptom checklist with tick boxes grouped by body system

MCAS Symptoms: What a Flare Feels Like, Plus a Checklist to Tick

What an MCAS flare feels like: flushing, hives, stomach cramps, a racing heart. Skin signs, triggers, how it’s diagnosed, and a checklist to tick and print.

A cup of tea beside a notebook of short symptom notes and a phone showing a check-in

Hashimoto’s Diet: What to Eat, What to Avoid and Why

What to eat and avoid with Hashimoto’s: iodine and kelp, gluten, selenium, soy, and when to take levothyroxine around coffee and food. Plus a free food log.

A woman sits on her bed in a dim room, with the shutters closed and lace curtains drawn against the daylight.

Lupus Flare-Ups: Symptoms, Triggers and How Long They Last

What a lupus flare feels like, early signs including a face rash, common triggers such as sun and stress, how long flares last and when to get help.

A tired woman rests her head on a table, still holding a spoon over a bowl of soup.

Spoon Theory: What It Means and How to Use It

Spoon theory explains limited energy: you start each day with a set number of spoons and every task costs some. Where it came from and how to use it.

A woman in a pink shirt sits on the floor against a grey sofa, resting her head on her hand and staring at her laptop screen with a tired, unfocused look.

Brain Fog: Causes, What Helps and When to Worry

What causes brain fog: poor sleep, ME/CFS, long COVID, POTS, thyroid problems, MCAS, hormones and medicines. What helps, when to see a doctor and what to note.

A woman lies back on a grey sofa under a white duvet with her eyes closed and a hand on her head, a glass of tea on the table beside her.

Dizzy When Standing Up: Causes, What Helps and When to Get Help

Why you get dizzy or see black when you stand up: head rush, low blood pressure, POTS, dehydration or medicines. What helps, and when to see a doctor.

A woman rests her head on a wooden table next to a half-eaten bowl of soup, too tired to finish her meal.

Tired After Eating: Why It Happens and When to See a Doctor

Why you feel tired after eating: big meals, the afternoon dip, POTS, low blood pressure or blood sugar. What helps, when to see a GP and what to note down.

A woman in a headwrap lies on a sofa with her eyes closed, taking a rest.

Endometriosis Flare-Ups: Symptoms, Triggers and What Helps

What an endometriosis flare up feels like, how long it can last, possible triggers, what can ease the pain, when to get urgent help and what to log.

A woman with curly hair rests on a sofa under a knitted blanket.

POTS Flare-Ups: Triggers, Symptoms and How to Recover

What a POTS flare up looks like, possible triggers (heat, standing, meals, periods), how to get through bad days and how to plan recovery with your clinician.

A smiling woman relaxes on a sofa under a blanket, holding a mug.

Fibromyalgia Flare-Ups: Signs, Triggers and Recovery

What a fibromyalgia flare up feels like, how long flares last, the most-reported triggers, and how to pace through one without stopping your life.

Juno flare episode worksheet with spaces for symptom notes

MCAS Symptom Diary: How to Track Flares and Possible Triggers

Keep a simple MCAS symptom diary with a copyable template, fictional flare and ordinary-day examples, and a clear summary to discuss with your clinician.

A woman lies on a white sofa, looking at her phone with an open book resting on her chest.

The Best Pacing Apps for Chronic Illness (2026)

The best pacing apps for ME/CFS, long COVID and chronic illness in 2026: Visible, Juno, Welltory, Pacely, Pacing Guard and more, with prices checked.

The Best Apps for Fibromyalgia (2026)

Juno, Manage My Pain, Bearable, CareClinic and Visible compared for fibromyalgia: pain and fatigue logging, flare patterns, doctor reports and price.

A smiling woman sitting in her living room checks her smartwatch.

The Best Apps for POTS (2026)

The best apps for POTS in 2026: Juno, Visible, TachyMon, Bearable, Guava and CareClinic compared on heart rate, symptom logging, doctor reports and price.

A woman in a grey sweater checks her phone while holding a mug of coffee at home.

The Best Symptom Tracker Apps for Chronic Illness (2026)

Juno, Bearable, Visible, Guava, CareClinic, mySymptoms and Human Health compared for chronic illness: how you log, doctor reports, price and ratings.

The Best Apps for ME/CFS and Long COVID (2026)

Visible, Juno, Bearable and Guava compared for ME/CFS and long COVID: heart-rate pacing, low-energy logging, doctor reports and prices, as of October 2026.

Official Juno and Human Health App Store icons side by side

Juno vs Human Health (2026): Symptom Tracking Compared

Compare Juno and Human Health for conversational symptom tracking, energy pacing, wearable data, patterns, appointment reports and free features.

Juno vs Guava (2026): Symptom Tracking Compared

Compare Juno and Guava for chronic illness support, symptom tracking, energy pacing, health records, international use, pricing and appointment preparation.

A clinician and another person looking over paperwork at a desk.

How Juno Uses Medical Knowledge and Your Health History

Learn how Juno combines curated health information with your symptom history, keeps evidence separate from experience, and helps you prepare better questions.

A woman sits by a rain-speckled window holding her phone and a mug.

Symptom Patterns with Juno: Turn Daily Notes into Useful Clues

See how Juno brings symptoms, sleep and daily context together. Learn to spot useful patterns, check the evidence and prepare clearer questions for your doctor.

A person outdoors holding a phone to their ear.

Track Symptoms by Voice with Juno: Your Words, a Clearer History

Track symptoms by voice or text with Juno. Capture timing, daily impact and context in your own words, then build a clearer history for medical appointments.

Energy Pacing with Juno: Plan Around the Day You Have

Use Juno to plan daily activities around limited energy, understand spoon estimates and keep symptom context together, with practical pacing examples to try.

The official Juno and Visible App Store icons side by side.

Visible vs Juno (2026): Pacing and Symptom Tracking

Juno is your 24/7 personal health assistant for chronic illness. Compare condition support, pattern analysis, band requirements and importing Visible symptoms.

Juno vs Bearable (2026): Symptom Tracking Compared

Compare Juno and Bearable for symptom logging, voice, health patterns, appointment reports and pricing. Choose the app that fits your energy and routine.

A capped blood sample tube resting on a printed blood chemistry panel listing test names

High ESR and CRP: What Raised Inflammatory Markers Mean

High ESR and CRP explained: what raised inflammatory markers mean, common causes, why the tests can disagree, and what to track before your next appointment.

A doctor and patient sitting at a desk together, reviewing printed medical documents

How to Present Your Case to a New Specialist

How to prepare for a first specialist appointment with a chronic illness: a one-page summary, six symptom dimensions, flare patterns and prioritised questions.

A person sitting at home holding two half-used blister packs of tablets

Illness Flare Up or Side Effect to Medication? How to Differentiate Your Symptoms

How to tell a chronic illness flare from a medication side effect using onset timing, symptom domains and daily impact, then bring the evidence to your doctor.

A woman writes in a notebook at a table, with a straw sun hat beside her

Lupus Triggers: What Can Cause a Flare and How to Track Them

Common lupus triggers, from sun and UV light to stress, infections and some medicines, and how to track them when a flare arrives days later.

A man lies on a sofa under a blanket, looking at his phone

How to Track Symptoms Without Making It a Full-Time Job

Learn how to track chronic symptoms without the cognitive fatigue. Discover low-burden methods, quick check-ins, and doctor-ready summaries with Juno.

A woman at a desk rests her chin on her hand while writing notes beside a laptop and a cup of coffee

Preparing for a Medical Appointment When You Have Brain Fog

Prepare for doctor visits when dealing with chronic illness brain fog. Use our practical checklist to reduce cognitive load and advocate with confidence.

Energy Pacing for Chronic Illness: How to Manage Your Energy and Prevent Crashes

Learn how to use energy pacing to manage chronic illness, budget your energy levels daily, avoid post-exertional malaise, and prevent symptom flares.

A woman at home holds her forehead while reading a printed sheet of paper

Why Are My Blood Tests Normal When I Feel So Sick?

Discover why routine blood tests look normal when you feel sick, and learn how tracking functional impact can help you advocate for a proper diagnosis.